WHO / Budi ChandraSpraying in Bali, Indonesia: global cost of $8.9 billionWHO / Budi Chandra
In 2013, dengue generated an expenditure of $8.9 billion, with a total of 58.4 million symptomatic cases (13.5 million fatalities) in the 141 countries and territories where the disease is found (The Lancet Infectious Diseases, August 2016). The figures come from a study led by Donald Shepard of Brandeis University, working with experts at the University of Washington. According to the survey, 48% of sick individuals (28.1 million) were treated in outpatient facilities, 18% (10.5 million) required hospitalization, and 34% (19.7 million) received no medical treatment. The per capita cost varies from $70.1 for hospital treatment, to $51.1 for outpatient treatment, to $12.9 for cases that do not reach the health care system. According to the study, Brazil has an incidence of 751 to 1,000 cases out of every 100,000 individuals, more than double the 301 per 100,000 people recorded by the Ministry of Health in 2012. Cost is proportional to incidence. In Brazil, it varies from $2.5 to $5 for every case treated. In Malaysia, which has an incidence of 3,000 to 5,000 cases per 100,000, the highest in the survey, the cost of treatment can vary from $15 to $55.
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